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Home My WebLink AboutPENNINGTON PARK BLK 2 LT 4A GAAB-HD-I GR ~ER ANCHORAGE AREA BOROI] :t DI:r~FITMENT OF ENVIFIONMENTAL QUALI~, 3500 TUDOFi FIOAD ANCHOFIAGE, ALASKA ggs07 27g-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ..,o . ADDRESS 7~-~,~ /x~~__. PHONE~-"/~/ LEGAL DESCRIPTION ''~u/7/ ¢4~CZ ~ '~/~ .~g~ SEPTIC TANK: DISTANCE FROM WELL ,.....~"3 / LIQUID CAPACITY _GALLONS. MATERIAL ____COMPARTMENTS LIQUID INSIDE LENGTH "--"~-"- .INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS_~'~'' LINING M A T E R 1A k _~'*~79---('- A? '~ NEAREST LOT LiNE ,'~- / .OUTSIDE DIAMETER OR WIDTH · DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) / / LENGTH /~'~ /7 , DEPTH ~// , BUILDING FOUNDATION ~'J~/'' · '~/~ _SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELI~~"'"~UND~~ , NEARESI' LOT LINE NUMBER OF LINES //'DISTANCE BETWEEN LINES ~ ~x. TRENCH WIDTH ABSORPTION AR~ SQ, FT. LENGTH OF EACH LINE / DEPTH: TOP OF TILE TO FINISH GRADE TOTAL L~"~ H OF.J~S , IN. TOTAL EFFECTIVE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: LOT LINE ,,~-~-/~'/-~/~ 4~-~'~ ' DISTANCE FROM TYPE /<~,x~//~/,'~,'~,' DEPTH ~--t"A~'~,',~)BUILDING FOUNDATION._ , SAMPLE ,,/..~- / i-.-/z- NEAREST SEEPAGE SEWER LiNE ,/~/2/"//- SEPTIC , , TANK "~'~.'~ , SYSTEM.__/'~::~ , CESSPOOL NEAREST OTHER SOURCES DIAGRAM OF SYSTEM GAAB-HD.I GF-"~TER ANCHORAGE AREA BORO' '~H ,' ,'ARTMENT OF EN¥1fl0NMENTAL 0. UAL 3500 TUDOR ROAD ANCHORAGE, ALASKA ggs07 z7g-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS PHONE SEPTIC TANK: DISI'ANCE FROM WELL ~"~ ! LlaUla CAPAClW, GALLONS. (_'.o ~,..-, ,/ · 'J'-.~,NUMBER OF MATERIAL ~ '~/)~ ~2 ~.~-'~ ........ '~/CCOMPARTMENTS INSIDE LENGTH ~ /INSIDE WlDm LIQUID DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER TILE DRAIN FIELD: OR WIDTH LENGTH DISTANCE FROM WELL. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , DEPTH BUILDING FOUNDATION~.? , ~ SQ. FT. DISTANCE FROM WELL / NUMBER OF LINES ABSORPTION ARE~ DEPTH: TOP OF TILE TO FINISH GRADE ., FOUNDATION. /O'"'-/k NEAREST LOT LINE DISTANCE BE[WEEN LINES, TRENCH WIDTH so. FT. LENGT. OF EACH L,,,,E / / .~_/_~/r DEPTH OF FILTER MATERIAL BENEATH TILE. TOTAL LENGTH OF LINES_. IN. TOTAL EFFECTIVE IN. ABOVE TILE ~-~/' WELL: TYPE DEPTH 0 DISTANCE FROM WATER .._ , BUILDING FOUNDATION SAMPLE NEAREST SEPTIC ~ SEEPAGE LOT LINE SEWER LINE ,TANK. ~- , SYSTEM / ~ ~-~ , CESSPOOL DIAGRAM OF SYSTEM NEAREST OTHER , SOURCES DISTANCES: L~ :~'7~ DATE GRE, ,ER ANCHORAGE AREA BO,.JUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. -- 3500 TUDOR ROAD POUCh 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION Of: SEPT C TANK ~ SEEPAGE PIT / DRAIN FIELD TYPE AND SIZE OF FACILITY FINANCED THROUGH ' TO BE INSTALLED BY SOIL TEST RESULTS COMPLETION DATE ANTICIPATED ~~lx PHONE NOTE: THIS PERMIT IS NOT VALID WITHOUT ~OIL TEST FINAL IN~PECTION~ ;~4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANGES, REQUIREMENTS FOUNDATION TO SEPTIC TANK SIZE FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL DRAIN FIELD SEPTIC TANK . .. SEEPAGE PIT .. TO NEAREST LOT LINE. WELL TO ..lC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK., / DRAIN FIELD zO / , DRAIN FIELD SEEPAGE P,T /O O , SEEPAGE P,T /0 / SEPTIC TANK, - . SEEPAGE PIT/"~/~'/~'~ DRAIN FIELD TO RIVER. LAKE, STREAM. C~__AST IRON INTO AND OUT OF.,SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIP, i~ ON SEPTIC TANK AND SEEPAGE PIT FI~TED WITH AIRTIGHT REMOVABLE CAPS. GRAVEl. BACKFIll CONFORM TO BORouGH R~GULAT1ON$ REGARDING INSTALLATION, OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIS~B~SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~ DATE , ATER :~NCFi~RAGL- AR!}:. 30ROI!~, DEPARTMENT OF ENVIRONt!E?iiAL Q/.~AL1T'.'' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For ~1,~ /!v~-s~-~,- Date Performed_ Legal Description: Lot ~Block :2 Subdivision~~.~-~_~-~l~. This ~orm Reports Soils Loft_ ~._ _. ~-~l~-~o~ '~-~'~ ! Depth Feet 6~ 7 9 , 10 Soil Characteristics Was Ground Water Encountered? If Yes, At what Depth? Reading Date Gross Time Net Time Denth to H20 '1 Net Drool -I Percolation Rate Minute Proposed Installat'i-~i-~'. Seenaae Pit P!"ain Field Depth of Inlet Peo't-:t-~--T-~"-~i~-"t]orn Of Pit 0~--~-~'~-~ ........... Test Performed B Para Certi f'i ed P~,/: Date · MUNICIPALITY OF ANCI DEPARTMENT OF HEALTH AND ENVIR( DIVISION OF ENVlRONME CERTIFICATE OF INSPECTION FOR OF ON-SITE SEWER AND 264-4720 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) 152 L._ q t~ F'E~f N ~ n ~ r~,~_/V P/~R K Tit N i~3 ~ .sEc,jO Location (address or directions) (b),~ Ap~;i~ant Name ~I~CI'~~ t~LCH Telephone: Home (c) terrie pisa I'1 ~AiSplicant is (check one): I..;end,ng Institution []; Owner/builder [~ Buyer El' Other [] (explain); (d) Le n din g I nS'l:itUtibfl ' Address ~/~ '/ ....... (e) Seal ~stato Company Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family [~ Multi-Family [] Number of Bedrooms .~ Other WATER SUPPLY Individual Well C~' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite ~i~'* Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 (11¢84~ As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this H~alth Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Ancllorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. ENGINEERING FIRM PROVIDIN~ INSPECTIONS, TESTS, FILE SEARCH, DA, A AND INFORMATION , Name of Firm __ A F.~___ .-% __ J,..~C'~- r Address .l~---C)O J,~~~/~J~/~ ^p,ro ed,or . Approved ~'~ Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 WELL DATA MUNICIPALITY OF ANCHORAGE (MO~i HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: liN' MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION ;UL 1 6 Well Classification I if A, B, C, D.E.C. Approved (Y/N) Well Log Present '(Y/~ _~ Date Completed {J/~/~/~0(,~/~{ Yield .~:~'/2 Total Depth "7~?''~ Casedto '7~/ ~ ~ . Depth of Grouting Static Water Level _(~ ,~ ~.,~' ' Pump Set At (-./ Casing Height Above Ground Electrical Wiring in Conduit ~)N) Separation Distances from Well: To Septic/Holding Tank on Lot (.~) To Nearest Edge of Absorption Fiel~l on Lot ! 0{~ f 1~' Sanitary Seal on Casing ~/N) Depression Around Wellhead (Y~) ~ [ i"0 S!~O ~)t~ '~; On Adjoining Lots ; On Adjoining Lots 100/¢' To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Co mJ;~.ents '2~ ~'~E PER /V'/,~ To Nearest Public Sewer fV/~/ TO Nearest Sewer Service Lin?_.~L. ct B. SEPTIC/HOLDING TANK DATA Date Installed ~ Size I Z'~'-O No. of Compartments Standpipes ~/N) Air-tight Caps ~;~N) Foundation Cleanout (Y./(~} Depression over Tank (Y~) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) .N./~' separation Distances from Septic/Holding Tank: ; for . . emporary Holding Tank Permit (Y/N) To Water-Supply Well * O ~ / ~'1~ _5/~0 O/~ ¢~To Building Foundation ! 0/''/- To Property Line ] ~/-d" To Disposal Field To Water Main/Service Line Course / C)~ C..~ v To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absor. ption Strata Date Installed_/0/2?72_ Width of Field ~E,~) 3 Square Feet of Absorption Area . Depression over Field (YO Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well _ To Building Foundati?n ~"'/~ (~ ~,,~--~' / Lot P~/ Type of System Design Length of Field CI~I~ ! Z.'X'/4/~/O~I Depth of Field .C R I.~ _~ / Gravel Bed Thickness C~'J'~ 6 / Standpipes Present (~N) Date of Last Adequacy Test . To Property Line 22 / Em / d- ~ CD t0/C-'- To Existing or Abandoned System on ,-/ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~/_,,.~./~ z'~ ; On Adjoining Lots To Cutbank (if present) _ ~//~ /oo D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/A~ "Pump On" Level at "Pu.~:~rcOff" Level at High Water Alarm Level at ............../-"'""'~ Vent (Y/N) Tested for ~- Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I ha~vcctlecke, d,xerifi,ed, or conformed to all MOA an¢ HAA guidelines in effect on Signed 9~~/~ Date ~/~ the date of this inspection. Company . A~C~ /~C, MOA No .... /~ Receipt No.-.~ ~ ~1 ~ . _ Date of Payment .~-l~'~ Amount: $ ~e ~ ~ I Page 2 of 2 ~ ~r~ ~~ ALASKA I$11LI I OFImeFITAL COFITROL $ l dlCl $, [lC, J~nqinecrinq ~- J~nuJronmcntaJ Studies JULY 16 1986 TERRI PISA SELLER-SA~E 1000 EAST DIMOND BLVD SUITE 101 ANCHORAGE ALASKA 99515 TERRI PISA 1000 EAST DIMOND BLVD SUITE 101 ANCHORAGE ALASKA 99515 60262 / LEGAL:PENNINGTON PARK BLOCK~2 LOT 4A ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-JUNE 11 1986 THE TYPE OF ABSORPTION SYSTEM IS A CRIB/BED WITH AN AREA OF 458 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 676 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A $ BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON JUNE 12 1986 . THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE-JUNE 11 1986 A FLOW TEST WAS PERFORMED ON THE WELL. 676 GALLONS OF WATER WAS PUMPED AT A RATE OF 5.2 GPM OVER A DURATION OF 8 HOURS. 180 MINUTES THE DRAWDOWN WAS 9 ' WITH A RECOVERY TIME OF AND THE STATIC WATER LEVEL WAS 38.5 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. 0 LUcst 33rd Au¢nu¢, Suite [~., J~nchoraq¢, Aloska 99503.(907) 561-5040 M-W DRILLING INC. INVOICE No 3 4 1 9 UNIT ANCHORAGE. ALASKA 99511 QTY. MATERIALS PRICE AMOUNT PHONE 349-8535 NAME .... ADI~RESS ~ITY LEGAL OWNERS BANK OR LENDING INSTITUTIONS CURRENTLY HOLDING DEED OF TRUST HOME PHONE WORK PHONE , , TOTAL MATERIALS WELL NUMBER DIAMETER DEPTH I STATIC LEVEL GPM I DRAWDOWN I PUMP ~AKE HP SETTING VOLTS PHASE AMP RATE SERIAL NUMBER ~ODEL SCREEN LENGTH SLOT ~IZE LINER/SCREEN DESCRIPTION Of WORK DATES o All charges shall be paid in full within ten days unless other arrangements are made prior to drilling. The customer shall pay in- terest at the rate of 1 ~ % per month on any amount not paid within ten days. Failure to pay may result in a lien against the property. WORKMAN DATE IN OUT J HOURS I RATE MATERIALS IFROM ABOVEI OTHER CHARGES CUSTOMER SIGNATURE ALASKA ENVIRONMENTAL CONTROL SERVIC' INC. ! 220 West 25th Avenue Suite I~ ANCHORAGE, ALASKA 99503 276-1361 279-2917 SHEET NO. OF CHECKED BY DATE SOA~ I ~ 20 ' TION MATERIALS TESTING · QUALITY CONTROL SOILS ENGINEERING 2204 Cleveland Ave. / P.O. Box 10-1126 / Anchorage, AK 99510 / 277-0231 710 3rd Ave. / P.O. Box 60547 / Fairbanks, AK 99706 / 452-1267 · 456-5155 September 4, 1979 Bruce Hammon % Ester Bumgardner Totem Realty, Inc. 724 East 15th Avenue Anchorage, Alaska Re: Adequacy Test, Lot 4A, Blook 2 Pennington Park Gentlemen: The house located on the above referenced project was occupied at the time of our test. The house is a two bedroom house. The septic system was saturated at the time of the test. Septic tank size was estimated to be 750 gallons. Adequacy test was as follows: 500 gallons of water in 24 hours~ If you have any questions, please call our office. Thank you for your time. CONSTRUCTION TEST LAB RJP/gk "Professionals working to design and build a better 4 laska" TION MATERIALS TESTING * QUALITY CONTROL SOILS ENGINEERING 101126 / A r~'~'L~ ~ At~ 'i~' 9~i~ 'j'~'~Ci'I~P'AG~ 2204 Cleveland Ave. / P.O. Box - .'/~, ~; 277-0231 710 3rd Ave. / P.O. Box 60547 / Fa,rbanks, AK 9.97~_,~ ~.~,~. i,~52-~26~6-5155 August 31, 1979 Bruce Hammon % Ester Bumgardner Totem Realty, Inc. 724 E. 15th Avenue Anchorage, Alaska 99501 RECEIVED Re: Adequacy Test, Lot 4A, Block 2 - Pennington Park Dear Ester: The septic system located on the above referenced project tested as follows: 500 gallons of water in 24 hours The tank is estimated to be a 750 gallon tank. If you have any questions concerning these recruits, please contact our office. /~/~, ~ Very truly yours, ~ c0~s~c~o~ ~.s~ ~.;~, ~c. ~ ~ .,~- anaging' Engineer ~ ~/ RJP/td "Professionals working to design and build a better Alaska" GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received. ~/x~~ 1. Approval requested by: Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Mailing Address: Phone: 2. Property Owner: ~ ~l/~ ~ Phone: Mailing Address: ~-x~.~. / 3. Legal Description: ~/~_z f~/~ /'~L/~ ~~~j~-x~ 4. Location: '~ ~/ ~ ' 5. Type of facility to be inspected ?~J~_~_/--~~ No. of bedrooms 6. Well Data: A. Type .x~ m~ ~'~~m B ' Depth ~ ~ / C, Construction D, Bacterial Analysis 7. Sewage Disposal System: A. Installed /,%/7~ B. Installer C. Septic Tank: 1. Size /~.~-~F~/~,~2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Req..~st for Approval of Individual L .er & Water Facilities Legal Description Comments Approved ('~ Disapproved Date ~ -(i~-~ ,.~ Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)